Strong Correlation Between Disabilities of Arm, Shoulder and Hand Score and Modified Mayo Wrist Score Affected by Radius Union Scoring System and C-Reactive Protein in Patients with Conservatively Managed Distal Radius Fracture
DOI:
https://doi.org/10.31282/joti.v7n2.129Keywords:
CRP, DASH, distal radius fracture, MMWS, RUSSAbstract
Introduction:
Fractures of the distal radius are the most common fractures in the upper extremity. The conservative management of these fractures often yields favorable outcomes, which can be measured using various scoring systems, and are often associated with controlled inflammatory response. This study aims to determine whether the Modified Mayo Wrist Score (MMWS) can be an alternative to the gold standard Disabilities of Arm, Shoulder and Hand (DASH) score. Additionally, we investigate the effect of the Radius Union Scoring System (RUSS) and the C-Reactive Protein (CRP) inflammatory marker to those scores.
Material & Methods:
Patient samples were consecutively taken from a population of patients with conservatively managed distal radius fractures using a cast. The patients were treated with a cast for 6 weeks, followed by a radiographic evaluation to assess the RUSS score and blood sampling in the 9th week to measure CRP level. In the 12th week, the DASH and MMWS were assessed.
Result:
Correlative analysis showed a strong correlation between MMWS and DASH score, and a predictive correlation between RUSS and CRP level toward MMWS and DASH score.
Conclusion:
The MMWS scoring system correlates with the DASH score, making it a promising scoring system in clinical practice, while a high RUSS score and low 9th-week CRP level can cause better functional outcomes in patients with conservatively managed distal radius fracture.
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References
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